Outpatient Coder

Rrhs

Job Overview

Location

Riedman - Remote

Job Type

Full-time

Full Job Description

📋 Description

• Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and/or CPT codes for billing, internal and external reporting, research, and regulatory compliance.
• Ensure accurate coding of conditions and procedures in accordance with ICD-10-CM Official Guidelines for Coding and Reporting and/or CPT Assistant under the direction of the HIM Coding Manager.
• Apply reimbursement methodologies to assigned charts to optimize reimbursement and resolve regulatory edits.
• Resolve error reports associated with the billing process, identify and report error patterns, and assist in designing and implementing workflow changes to reduce billing errors.
• Work within the Health Information Management (HIM) department at Rochester Regional Health, a mission-driven healthcare organization committed to quality, equity, and innovation.
• Develop expertise in clinical coding systems, regulatory compliance, and healthcare reimbursement while contributing to accurate data capture for patient care and financial integrity.

🎯 Requirements

• Active certification in one of the following: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder Hospital Based (CPC-H), Certified Medical Coder (CMC), RHIT/RHIA, Radiology Certified Coder (RCC), Certified Coding Associate (CCA), Certified Outpatient Coding (COC), Certified Inpatient Coder (CIC), Certified Risk Adjustment Coder (CRC), Certified Professional Coder-Payer (CPC-P), or any AAPC specialty certification (e.g., CASCC, CANPC, CCC, etc.), or Ophthalmic Coding Specialist (OCS) from the American Academy of Ophthalmology.
• Associate’s degree in Health Information Management (required).
• Ability to obtain full CPC certification within 24 months if holding CPC-A at hire, or 36 months if obtained after employment; RHIT-eligible candidates may be considered if they sit for the exam within one year of hire.
• For homecare assignments: Homecare Diagnosis Coding Specialist (HCS-D) certification required within 16 months of hire.
• Proficiency with Care Connect, UDS, and Clintegrity systems for accurate code assignment and data entry.
• Consistent adherence to ethical coding standards (AHIMA), departmental policies, and productivity guidelines with 95% accuracy.

🏖️ Benefits

• Remote work flexibility with a day-shift schedule.
• Competitive hourly pay range of $20.75 to $29.50 based on experience and qualifications.
• Opportunity to work with a leading healthcare system committed to equity and inclusion as an Equal Opportunity/Affirmative Action Employer.
• Access to ongoing training, team meetings, and professional development through RHIS, HIM Department, and Coding Team sessions.
• Clear pathways for certification support and career advancement within health information management.
• Contribution to meaningful healthcare outcomes through accurate data capture for billing, reporting, research, and compliance.

Skills & Technologies

Remote

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Rrhs

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About Rrhs

Rrhs is a healthcare technology company specializing in revenue cycle management and clinical documentation improvement solutions for hospitals and health systems. The company provides software and services designed to enhance coding accuracy, streamline billing processes, and reduce claim denials through AI-powered tools and expert consulting. Rhhs focuses on helping healthcare providers optimize financial performance while maintaining compliance with evolving regulatory standards. Its platform integrates with electronic health record (EHR) systems to support real-time clinical documentation and coding workflows. Serving clients across the United States, Rhhs operates at the intersection of health IT, medical coding, and healthcare finance, aiming to improve operational efficiency and revenue integrity for its provider partners.

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